Vertebral Coplanar Alignment Technique Versus Bilateral Apical Vertebral Derotation Technique in Neuromuscular Scoliosis.

Study Design: Single-center retrospective analysis of prospectively collected data.

Objective: Our aim was to compare the correction capacity in 3 planes of the VCA technique versus the AD technique in neuromuscular scoliosis patients.

Methods: We analized patients with neuromuscular scoliosis that underwent posterior spinal fusion from 2013 to 2017 using 2 different techniques for correction: vertebral coplanar alignment (VCA) that takes into consideration the fact that the medial cortex is more resistant than the lateral cortex, with more anchor points for better distribution of forces and ligamentotaxis and the more widely spread apical derotation (AD) technique.

Neuromuscular Scoliosis: Comorbidities and Complications.

Study Design: Single-center, retrospective cohort study conducted from 2013 to 2017.

Purpose: To determine the risk factors for surgical complications in neuromuscular scoliosis based on known patient comorbidities.

Overview Of Literature: The concept of neuromuscular scoliosis includes a wide variety of pathologies affecting the neuromuscular system.

Efficacy of topical versus intravenous tranexamic acid in spinal deformity.

Purpose: To compare topical tranexamic acid versus intravenous tranexamic acid in reducing intra- and postoperative blood loss and transfusion rate in deformity patients.

Materials And Method: We performed a retrospective cohort study with posterior fusion deformity patients, between 2009 and 2016. Patients were categorized in 4 groups: "No TXA" (n = 35) if the wound was packed with saline soaked sponges, "IV TXA" (n = 37) the patient received 20 mg/kg bolus at the beginning of the surgery followed by continuous infusion of 1 mg/kg/hr until closure, "Topical TXA" (n = 23) the wound was packed with sponges soaked in 6 g of TXA diluted in a 3 L saline solution, or "Combined TXA" (n = 86) the patient received both IV and topical TXA.

Accuracy of a dynamic surgical guidance probe for screw insertion in the cervical spine: a cadaveric study.

Study Design: A fresh frozen cadaver study was conducted.

Objective: To report the cortical breach rate using the dynamic surgical guidance (DSG) probe versus traditional freehand technique for cervical lateral mass, cervical pedicle and cervical laminar screws.

Methods: Nine male fresh frozen cadaveric torsos were utilized for this study.